Mary Jane Hall Willis
M.D. | Pediatrics | Female
Mary Jane Hall Willis, M.D. is a San Diego, California based Pediatric doctor with medical specialization in
General Pediatrics. Mary Jane Hall Willis is also known as
Mary Jane Hall.
Current practice location of Mary Jane Hall Willis is
34520 Bob Wilson Dr, Suite 100, San Diego, California - 92134-2098. She can be contacted on phone at
619-532-6896 and fax number 619-532-9184.
Mary Jane Hall Willis is a sole proprietor of her business.
NPI number (Unique professional ID) for Mary Jane Hall Willis is
1104998053 which was assigned by NPPES on 15 Nov, 2006 and it was last updated on 03 Mar, 2023.
Mary Jane Hall Willis license number is
A75301 for Pediatrics (208000000X) in California.
Mary Jane Hall Willis is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mary Jane Hall Willis basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Mary Jane Hall Willis |
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| Other Name : | Mary Jane Hall |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Mary Jane Hall Willis address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 34520 Bob Wilson Dr, Suite 100
San Diego, CA, 92134-2098
United States |
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| Phone Number : | 619-532-6896 |
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| Fax Number : | 619-532-9184 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1104998053 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 15 Nov, 2006 |
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| Last Updated On : | 03 Mar, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary Jane Hall Willis are as mentioned. Primary taxonomy code for Mary Jane Hall Willis, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207SG0201X | Medical Genetics, Clinical Genetics (M.D.) | No | A75301 | CA |
| 208000000X | Pediatrics | Yes | A75301 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Mary Jane Hall Willis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00A753010 | MEDICAID | CA | |
| I23164 | MEDICARE UPIN | CA | |
| WA75301A | MEDICARE ID-Type Unspecified | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 34520 Bob Wilson Dr, Suite 100
San Diego, CA, 92134-2098
United States |
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| Phone Number : | 619-532-6896 |
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| Fax Number : | 619-532-9184 |
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Business Location:
Patients can refer following map for directions to
Mary Jane Hall Willis practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.